Organization
CONCORD MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAUDIA DIAZ PA-C (PRESIDENT)
(704) 782-6868
Entity
Organization
Contact information
Practice address
1000 COPPERFIELD BLVD NE, SUITE 124, CONCORD, NC 28025-2453
(704) 782-6868
(704) 782-7585
Mailing address
1000 COPPERFIELD BLVD NE, SUITE 124, CONCORD, NC 28025-2453
(704) 782-6868
(704) 782-7585
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001001312
NC
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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